The Journal of Clinical Hypertension (Mar 2024)

Reversal of cardiac and renal damage in a teenager with hypertension: A case report

  • Huiyu Du,
  • Shilei Gao,
  • Wenyong Dong,
  • Qi Huang,
  • Huiyun Qu,
  • Chen Zhang,
  • Linya Guo,
  • Zhilan Liu,
  • Min Liu

DOI
https://doi.org/10.1111/jch.14769
Journal volume & issue
Vol. 26, no. 3
pp. 295 – 298

Abstract

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Abstract The authors describe the case of a 16‐year‐old male who was incidentally found to have a blood pressure of 200/? mmHg 6 months previously due to blurred vision and was diagnosed with “high risk of hypertension grade 3, renal insufficiency, hypertensive encephalopathy, hypertensive heart disease, and fundus hemorrhage” after relevant examinations were performed. His blood pressure fluctuated around 120/90 mmHg after beginning antihypertensive treatment. While the diagnostic work‐up of his hypertension was inconclusive, he had severe hypertension with brachydactyly type E and short stature on physical examination. The patient's cardiac damage and renal insufficiency ultimately returned to normal after strict blood pressure control, suggesting that hypertension and brachydactyly syndrome alone do not cause cardiac and renal damage.

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